Sharing our Findings: Project Dissemination


August 18, 2017 Heartland Health Alliance QI Task Force
Applying Systems Thinking to Fall Risk Reduction

August 15, 2017, COMPASS Hospital Improvement Innovation Network CAPTURE Falls Part 3
Moving Beyond Direct Patient Care: An Expanded Role for Physical Therapy in Inpatient Fall Risk Reduction

July 18, 2017 COMPASS Hospital Improvement Innovation Network CAPTURE Falls Part 2
Know Falls An Online Organizational Tool for Fall Risk Reduction

June 20, 2017, COMPASS Hospital Improvement Innovation Network CAPTURE Falls Part 1
CAPTURE Falls Part 1: A systems approach to a complex patient safety problem

May 18, 2017, CIMRO Quality Forum
Managing the Complexity of Patient Safety Problems using Multiteam Systems

April 28, 2017, Heartland Health Alliance QI Task Force
Managing Change and Culture to Improve Safety

February 17, 2017,  Heartland Health Alliance QI Task Force
A “Right” of Fall Risk Reduction: Choosing an Assessment

December 2, 2016,  Heartland Health Alliance QI Task Force
CAPTURE Falls: The Eight “Rights” of Fall Risk Reduction

October 27, 2016, Nebraska Critical Access Hospitals Conference on Quality
Moving Beyond Direct Patient care: An Expanded Role for Physical Therapy in Inpatient Fall Risk Reduction

October 20, 2016, Iowa Hospital Association Annual Meeting
Coordination within Multiteam Systems Makes Healthcare Safer

June 28, 2016, Center on Health Services and Research Summer Institute
Association Between Safe Transfer/Mobility Techniques and Fall-Related Injury in the Acute Care Setting: Implications for Physical Therapists

June 10, 2016, American Physical Therapy Association NEXT Conference
Teaming Up for Inpatient Fall Risk Reduction

October 6, 2015 AHRQ Research Conference
Producing Evidence to Make Healthcare Safer: Implementation and Evaluation of Multi-Team Systems to Decrease Fall Risk in Critical Access Hospitals

June 24, 2015, Nevada Geriatric Education Consortium
Falls Prevention and Management: Best Practices for Community and Inpatient Care Settings

June 17, 2015, TeamSTEPPS National Conference
Using TeamSTEPPS Tools to Partner with Patients and Prevent and Learn from Falls

April 21, 2015, International Improvement Science and Research Symposium
CAPTURE Falls: A Complex Social Intervention

February 2015, Rural Health Leadership Conference
Lead in Patient Safety: Implementing a Multi-Team System to Decrease Fall Risk

February 2015, Midwest Student Biomedical Research Forum:
Rehabilitation Therapists in Inpatient Fall Risk Reduction: Playing a More Valuable Role

November 2014, Critical Access Hospital Conference on Quality:
Effective Huddles & Debriefs: How to Facilitate Learning at the Frontline 

September 2014, Nebraska Nursing Facility Association/Nebraska Assisted Living Association Fall Convention:
Decreasing Fall Risk: A Team Sport
Gap Analysis
Action Plan

July 2014, Interdisciplinary Network for Group Research Conference
After Action Reviews and Learning: The Use of Post-Fall Huddles in Inpatient Hospital Settings

June 2014, TeamSTEPPS National Conference:
Adapting the T-TPQ:Assessing Teamwork Support for Fall Risk Reduction

June 2014, CIMRO Quality Conference:
Reflections on the CAPTURE Falls Project

November 2013, presentation:
Panel Discussion of Lessons Learned

June 2013, TeamSTEPPS National Conference
Adapting TeamSTEPPS Tools for New Uses: Post-Fall Huddle

May 2013, Nebraska Healthcare Quality Forum:
Conducting Effective Fall Risk Reduction Team Meetings
Case Study: Choosing a Fall Risk Assessment

April 2013, Society for Industrial and Organizational Psychology Conference
Team Reflexivity and Patient Falls: Implications for Training


Jones KJ, Venema DM, Nailon R, Skinner AM, High R, Kennel V. Shifting the paradigm: An assessment of the quality of fall risk reduction in Nebraska hospitals. J of Rural Health. First published online Sept. 2, 2014; DOI: 10.1111/jrh.12088. Abstract

Reiter-Palmon R, Kennel V, Allen J, Jones KJ, Skinner AM. Naturalistic decision making in after-action review meetings: the implementation of and learning from post-fall huddles. Journal of Occupational and Organizational Psychology. First published online Aug. 20, 2014; DOI: 10.1111/joop.12084. Abstract